Organization Active NPI

Hand Trauma and Surgery Specialists LLC

  • Surgery of the Hand (Surgery) Physician
  • Norcross, GA
National Provider Identifier
1114816964
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
Legal business name
HAND TRAUMA AND SURGERY SPECIALISTS LLC
Practice address
4775 Jimmy Carter Blvd Ste 201
Norcross, GA 30093-3760
Phone
(470) 305-0848
Fax
(470) 305-1110
NPI assigned
Jun 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Mangonon, DONPI 1609013036
Title
President
Phone
(470) 305-1581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0105X Primary

Addresses

Primary practice location

4775 Jimmy Carter Blvd Ste 201
Norcross, GA 30093-3760

Mailing address

3245 Peachtree Pkwy Ste D
#246
Suwanee, GA 30024-6008
Phone (470) 305-0848

National Provider Directory

National Provider Directory

Locations

3245 Peachtree Pkwy
Ste D
Suwanee, GA 30024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763251200000",
    "number": "1114816964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 PEACHTREE PKWY STE D",
            "address_2": "#246",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246008",
            "telephone_number": "470-305-0848",
            "fax_number": "470-305-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 JIMMY CARTER BLVD STE 201",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933760",
            "telephone_number": "470-305-0848",
            "fax_number": "470-305-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND TRAUMA AND SURGERY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A",
        "authorized_official_last_name": "MANGONON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-305-1581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.